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INSTITUTE FOR CONTINUING CARE
EDUCATION AND RESEARCH - PROVIDER PERSPECTIVES ON THE
COMMUNITY NEEDS DRIVEN RESEARCH NETWORK
AAG, 23 October, 2013
Sandra Woodhead Lyons, ICCER
Iris Neumann, CapitalCare
Sharon Read, Excel Society
• We would like to thank Alberta Innovates Health Solutions for funding the CNDRN.
ACKNOWLEDGEMENT
OUTLINE • Institute for Continuing Care Education
and Research
• Community Needs Driven Research Network - Why? What? How?
• Results - Participants, Themes, Pilot Projects
• Lessons Learned and Next Steps
• Provider Perspective
INSTITUTE FOR CONTINUING CARE EDUCATION AND RESEARCH (ICCER)
Collaborative endeavour of post-secondary institutions and continuing care providers.
To improve continuing care for Albertans by working with academics, researchers, educators, providers, and students.
ICCER – HISTORY AND BACKGROUND
• Founded by CapitalCare, NorQuest College, University of Alberta, and AHS in October 2008.
• Membership has varied over time. Currently 8 member organizations with another 3 set to join by December. Other organizations in the new fiscal year.
ICCER ACTIVITIES
• Community Networking Events
– Grande Prairie
– Slave Lake
– Regional Municipality of Wood Buffalo
• Interdisciplinary 410 Continuing Care Stream
• Optimizing Workforce Utilization to Inform Care Delivery in Continuing Care Facilities
• Challenging Behaviours Symposium
Benefits Offered by ICCER
• Influence health provider education (e.g., student practicums with member agencies, interdisciplinary course content)
• Capitalize on campus Alberta linkages (e.g., Uof A,Bow Valley College, Keyano College, Norquest College)
• Connect with provider organizations in end-of-
grant Knowledge Transfer
• Engage in community provider partnerships
• Research provider identified needs
CNDRN - WHY?
• CC sector is under- researched
• Academically driven
• Front- line staff are sources of data
• Knowledge translation potential is lost
CNDRN – WHAT?
CNDRN – WHAT?
CNDRN - HOW?
Needs Reference Group Research Reference Group
Providers, Front Line staff
Researchable Question?
Literature Review
KT Pilot
DATA COLLECTION
RESULTS: PARTICIPANTS
Medicine Hat: 5
Lethbridge: 11
Edmonton: 30
Calgary: 19 Red Deer: 4
Fort McMurray
Grande Prairie
Slave Lake
Community Network
events: 75
Focus Groups and
Interviews: 69
RESULTS: PARTICIPANTS
23
25
21
19
20
21
22
23
24
25
26
AHS Not for Profit Private
Participant Provider Organizations
AHS Not for Profit Private
Participants' Roles
Role #
Administrator/Manager/ Director of
care 22
Professional practice leads 12
Education (Examples learning
consultant) 7
HCA 7
Nursing staff (NP/RN/LPN/) 6
Non- direct care staff
(housekeeping/dining room) 6
Rehabilitation Staff 4
Recreation Staff 3
Physician 2
Grand Total 69
DATA ANALYSIS
RESULTS: THEMES Theme Sub- Themes
Mental Health related issues - Challenging behaviors
- Care for non- dementia clients
- Client Mix
Education related issues - Adult Learning
- Effectiveness and outcomes
- HCA Training
System navigation and transition of care - Information and Education
- Assessment
- Impact on clients and families
Technology for adult learning and point of care
Role definition within the CC sector
RESULTS: THEMES
Working with families - Family’s role
- Families as CC clients
- The overlooked value of family’s knowledge
Staff retention and recruitment - Recruitment
- Retention
Caregiving - Attitudes and attributes of caregivers
- Caregiving and couples in the CC sector
- Impact of habits and addictions
Intercultural issues - Clients’ cultural backgrounds
- Staff’s cultural backgrounds
Need for Recreation and Rehabilitation staff - Need evidence to support funding
RESULTS: LOCATION- DEPENDENT THEMES
Theme Province Area
Palliative Care, end of life and hospice
Edmonton
RAI Research Calgary and Edmonton
AHS Policy Inconsistencies Southern Alberta
First Nations issues Northern Alberta
RESULTS: PILOT PROJECTS
• As part of the CRDN, ICCER is funding 2 research teams to work on 2 of the top issues identified.
• These projects will provide some insight and potential strategies into issues identified by front-line workers as important.
RESULTS: PILOT PROJECTS
1. Challenging/responsive behaviours
• November 2012 – Challenging behaviours symposium: over 80 people attended across Alberta (and Manitoba, Ontario).
• Funding for team led by Dr. Suzette Brémault-Phillips: development of a network to support front-line workers (Behavioural Supports Alberta www.bsa.ualberta.ca)
RESULTS: PILOT PROJECTS
2. Adult learning - Learning Circles as an innovative means of transferring knowledge.
• Funding a project at Excel Society and Bethany Care Society to evaluate the effectiveness of learning circles as a means of KT.
LESSONS LEARNED
• Ethics documents
• Interdisciplinary focus groups
• Difficulty recruiting Home Care personnel
• Rural areas – communication, scheduling, transportation barriers
NEXT STEPS
• Disseminate our findings: • www.iccer.ca
• twitter (@ICCER_AB)
• facebook (http://tinyurl.com/oq7cz36), and
• LinkedIn (http://tinyurl.com/p9eabah—Group) or (http://tinyurl.com/oo6kjmd—Company page)
• Encouraging researchers to do research into these high priority issues
A PROVIDER PERSPECTIVE
• Why Excel Society joined ICCER
• What benefits ICCER participation has brought
